<br />
<br />
<br />

<form class="form-horizontal" role="form" action = "index" method = "post">
	<input type = "hidden" name = "client_id" value = "{client_id}" />
	<input type = "hidden" name = "client_name" value = "{client_name}" />
	<input type = "hidden" name = "id" value = "{id}" />
	<input type = "hidden" name = "form2" value = "1" />
	<div class="form-group">
	    <label for="name" class="col-md-2 control-label">联系人姓名*：</label>
		<div class="col-md-4">
			<input type = "text"  class="form-control" name = "name" value = "{name}" />
		</div>
		<label for="position" class="col-md-2 control-label">职务：</label>
		<div class="col-md-4">
			<input type = "text"  class="form-control" name = "position" value = "{position}" />
		</div>
	</div>
	<div class="form-group">
		<label for="mobile" class="col-md-2 control-label">移动电话：</label>
		<div class="col-md-4">
			<input type = "text"  class="form-control" name = "mobile" value = "{mobile}" />
		</div>
		<label for="tel" class="col-md-2 control-label">固定电话：</label>
		<div class="col-md-4">
			<input type = "text"  class="form-control" name = "tel" value = "{tel}"/>
		</div>
	</div>
	<div class="form-group">
		<label for="email" class="col-md-2 control-label">电子邮件：</label>
		<div class="col-md-4">
			<input type = "text"  class="form-control" name = "email" value = "{email}" />
		</div>
		<label for="tax" class="col-md-2 control-label">传真：</label>
		<div class="col-md-4">
			<input type = "text"  class="form-control" name = "tax" value = "{tax}" />
		</div>
	</div>
	<br />
	<div class="form-group">
		<div class="col-md-offset-2 col-md-3">
			<input class="btn btn-default" type = "submit" value="修改"/>
			<a class='btn btn-success btn-sm' href='http://<?php echo base_url(); ?>index.php/contact_record/index/{client_id}' role='button'>联系记录</a>
		</div>
	</div>
</form>
